Online Referrals - The Perio Specialists & Dental Implants

Assisting General Dental Providers

The Perio Specialists & Dental Implants is here to assist you and your patients achieve the best possible periodontal and dental implant outcomes.

Modern dentistry requires dental providers to work closely together to diagnose, treat and maintain the periodontal and dental implant health of patients. We believe that collaboration and shared care between our specialist team and their general dentist and/or oral health therapist gives the best chance for achieving and maintaining the highest levels of oral health.

Need help with a patient?
Complete the form below to refer your patients to The Perio Specialists and Dental Implants. Once received, our team will review the information and contact you on next steps and supply of relevant documentation.

Need more information?
If you would like a referral pack or to discuss a patient case, please contact our friendly reception team today.

Online Referral

Referring Practice(Required)

Practice Phone(Required)

Practice Email(Required)

Referring Provider First Name(Required)

Referring Provider Last Name(Required)

Patient First Name(Required)

Patient Last Name(Required)

Patient DOB(Required)

Patient Phone(Required)

Patient Email(Required)

Reason for Referral(Required)

Referral Details

Attachment Uploads

Drop files here or

Max. file size: 64 MB.

Medical History, etc.

Resource Centre

Classification of periodontal health and conditions

How Can We Help?

Taking the first step on your treatment journey has never been easier. Simply fill out the form below and one of our friendly reception team will get back to you.